Attitudes Toward and Experience With Assisted-Death Services and Psychological Implications for Health Practitioners: A Narrative Systematic Review

Author:

Wibisono Susilo12ORCID,Minto Kiara3,Lizzio-Wilson Morgana4ORCID,Thomas Emma F.4,Crane Monique5,Molenberghs Pascal6,Kho Madison5ORCID,Amiot Catherine E.7,Decety Jean8,Breen Lauren J.9ORCID,Noonan Kerrie10,Forbat Liz11,Louis Winnifred1ORCID

Affiliation:

1. School of Psychology, University of Queensland, Brisbane, QLD, Australia

2. Department of Psychology, Universitas Islam Indonesia, Yogyakarta, Indonesia

3. School of Historical and Philosophical Inquiry, University of Queensland, Brisbane, QLD, Australia

4. College of Education, Psychology, and Social Work, Flinders University, Adelaide, SA, Australia

5. School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia

6. Institute for Social Neuroscience, Heidelberg, VIC, Australia

7. Department of Psychology, The Universite du Quebec a Montreal, Montreal, QC, Canada

8. Department of Psychology, The University of Chicago, Chicago, IL, USA

9. Curtin School of Population Health and Enable Institute, Curtin University, Perth, WA, Australia

10. School of Social Sciences, Western Sydney University, Kingswood, Australia

11. Faculty of Social Science, University of Stirling, Stirling, UK

Abstract

A narrative systematic review was conducted to review studies that examine mental health implications of involvement in assisted-death services among health practitioners. Qualitative and quantitative studies were included to understand health practitioners’ attitudes and experiences with assisted dying services, as well as to identify the mental health consequences. We identified 18 articles from 1591 articles drawn from seven major scientific databases (i.e., PubMed, MEDLINE, CINAHL, PsycINFO, Embase, Web of Science, and Scopus). Two raters independently evaluated the exclusion and inclusion decisions of the articles and examined methodological flaws in the selected articles. We found that engagement in assisted death services were not reliably associated with mental health outcomes such as anxiety and moral distress. Both positive and negative outcomes were reported, and psychological outcomes for practitioners were shown to vary based on factors including social support for health practitioners’ views; their perceived capacity to care for the patients; and legislation.

Funder

Australian Research Council

Publisher

SAGE Publications

Subject

Life-span and Life-course Studies,Critical Care and Intensive Care Medicine,Health (social science)

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